The CDC’s Acting Director revised the Child and Adolescent Immunization Schedule on Monday, reducing the number of vaccines routinely recommended for children in the U.S. According to the State of Hawai, the changes have not been endorsed by the West Coast Health Alliance (WCHA) or the American Academy of Pediatrics (AAP).
The previous immunization recommendations, supported by the AAP until 2025, were based on extensive data assessing risks and benefits. Both the WCHA and AAP expressed concern that the CDC’s recent changes bypassed established review procedures and relied on comparisons with other countries that have different healthcare systems and vaccine access, according to the State of Hawaii.
The AAP’s recommended immunization schedule is based on evidence of vaccine safety and effectiveness. It considers children’s vulnerability to disease, optimal timing for vaccines, disease risks, healthcare access, and cost-effectiveness.
WCHA expressed concern that the CDC’s changes could increase the risk of vaccine-preventable diseases. The group said the decision may lead to confusion and disruptions, including missed school for children and potential hospitalizations.
Parents do not need to worry about insurance coverage for vaccines, as public and private insurers are expected to continue covering immunizations recommended as of Dec. 31, 2025. State health departments are reviewing the potential long-term effects of the CDC’s revised schedule. WCHA and AAP continue to endorse their recommendations and advise parents to follow evidence-based guidance.
